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Residency Manual

Department of Pharmacy

Revised December 2019

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Welcome!

Congratulations on starting your residency at Michigan Medicine and the University of Michigan

College of Pharmacy!

We are very pleased to welcome you as a new member of Michigan’s highly trained and

dedicated pharmacy team. Your pharmacy residency is an exciting and unique time to focus on

learning and refining clinical skills. We are dedicated to providing you with a variety of high-

quality learning experiences during your residency. We believe that your residency year should

be customized to your specific interests, strengths, and enhancing relative weaknesses. Please do

not hesitate to discuss opportunities to tailor activities to your specific interests.

This year you will experience great professional growth that is directly related to the amount of

commitment and dedication applied. At Michigan, it is our goal to partner with you to guide you

on your journey to become a highly trained and independent pharmacist.

Again, congratulations and welcome to the team!

Best regards,

John S. Clark, Pharm.D., M.S., BCPS, FASHP

Associate Chief Pharmacy Officer-Michigan Medicine

Clinical Associate Professor- University of Michigan College of Pharmacy

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Table of Contents

This manual has been developed for the Pharmacy Residency Programs at Michigan Medicine to

provide information on the policies, procedures, benefits, and other elements that may directly

relate to the completion of our program.

Questions regarding the manual may be addressed with the Residency Program Director or the

Residency Advisory Committee (RAC). There may be changes to the policies and procedures at

any time when deemed necessary. You will be informed of those changes accordingly.

1. Overview of Michigan Medicine

A. Michigan Medicine……………………………………………………………….……6 B. Program purpose, mission, vision………………………………………………......….6 C. Program administration………………………………………………………….……..7

Residency Program Director

Residency Program Coordinator

Residency Advisory Committee

Appointed mentor

Chosen mentor

D. Scope of activities………………………………………………………………...……8

2. Resident Responsibilities

A. Licensure……………………………………………………………………………….9

B. Graduation requirements………………………………………………………...……..9

Tracking graduation requirements

C. Rotations……………………………………………………………...………………11

Required rotations

Elective rotations

Rotation schedule

Rotation changes

D. Writing Project………………………………………………………………………..13

Resident and preceptor responsibilities

Completion requirements

E. Research Project………………………………………………………..……………..16

Approval process

Suitable project designs

Resident and preceptor responsibilities

Format

Modifications and progress

Completion requirements

F. Seminars………………………………………………………………………………21

Types

Preceptors

Announcements and evaluations

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G. Teaching Responsibilities…………………………………………………………….23

Assignments

Resident responsibilities

Course coordinator responsibilities

Teaching certificate (optional)

H. Code Blue Response………………………………………………………………….27

ACLS/PALS certification

Resident expectations

I. Staffing………………………………………………………………………………...29

Commitment

Holiday staffing

Types of staffing shifts

Schedule coordination

Trades

HSPAL example

J. Clinical On-Call Experience…………………………………………………………..31

PGY1 and PGY2 backup responsibilities

Documentation

On-call discussion and attendance

Evaluation

Moderator and coordinator responsibilities

K. RAC meeting attendance and minutes………………………………………………..34

L. Meeting Attendance…………………………………………………………………...35

Recruitment showcases

Clinical meeting requirements

M. Resident Committee Responsibilities………………………………………………...36

3. Evaluations……………………………………………………………..………………….41 A. Baseline

B. Rotation evaluations

C. Evaluation scale/key

D. Writing project evaluations

E. Research project evaluations

F. Seminar presentation evaluation

G. CANOPy evaluations

H. RAC-assigned mentor responsibilities with evaluations

I. Staffing evaluations

4. Early Commitment Process…………………………………..…………………….….45

5. Chief Resident Responsibilities…………………………………..…………………...47

6. Corrective Action and Dismissal…………………………………..…………………49

7. Duty Hours and Moonlighting…………………………………..…..…………….….50

8. Benefits…………………………………..…………………………………………..….….51 A. Salary

B. Paid Time Off Procedure

C. Holiday

D. Sick Day Notification

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E. Leave of Absence

F. Travel Policy

G. Job-incurred Injuries

9. Preceptor Responsibilities…………………………………..…...………………….….56 A. Preceptor Requirements

B. Preceptor Appointment Process

10. Residency Advisory Committee (RAC) …………………………………..……....58 A. Purpose

B. Membership

C. Meetings

11. Residency Application Process…………………………………..………………….60 A. Screening process

B. Interviewing process

12. Communications and Logistics…………………………………..…………..….….62

A. Pagers and Paging

B. Telephone System

C. Telephone Lists

D. Fax Guidelines

E. Personal Computers

F. Photocopying

G. Professional Posters

H. Guidelines for Pharmacist documentation in the medical record

Appendix A: Graduation Requirement Checklist…………………………………..64

Appendix B: Rotation List………………………………………………………………...65

Appendix C: Seminar Evaluation Form…………………...…………………………..66

Appendix D: Early Commitment Process Diagram……………………….………..67

Appendix E: Teaching Evaluation (optional) ………………………………………..68

Appendix F: Program-Specific Information Section

A. Cardiology……………………………………………………………………………70

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1. Overview of the Program

A. University of Michigan Health System

University of Michigan Health System is part of the 82-acre University of Michigan Medical

Center with a total of 1,000 licensed beds. University Hospital is a 577-bed tertiary care teaching

complex. Opened in February 1986, the University Hospital contains adult inpatient care

programs and most of the administrative and support units. The C.S. Mott Children's Hospital

houses pediatric and neonatal patient care programs while the Von Voigtlander Women's

Hospital provides maternity and gynecological services. The Children and Women’s (CW)

Hospitals opened in December 2011.

Across the Huron River, the Kellogg Center houses the ophthalmology programs. The

Cardiovascular Center (CVC) staff provide care for forty-eight inpatients and inpatient clinics.

Adjacent to the University Main Hospital is the Taubman Ambulatory Care Center with more

than 100 specialty clinics. The Cancer Center is near Main Hospital and includes an infusion

pharmacy and outpatient pharmacy. The East Ann Arbor Health Center houses one outpatient

pharmacy and an infusion pharmacy. In addition, the University staffs several outpatient

community medical facilities including Saline, Canton, Dexter, Chelsea, Brighton, and

Northville.

B. Residency Program Mission, Vision Statements and ASHP Residency purpose

statements

Mission

The mission of the PGY-1 and PGY-2 postgraduate programs at Michigan Medicine is to

develop practice, teaching and research skills of the pharmacy residents, and to nurture the

pursuit of professionalism, personal excellence, and leadership in the field of pharmacy.

All available resources will be mobilized to achieve the following objectives:

Leadership skills: The residency shall build upon individual and professional leadership

skills of the residents.

Clinical competency: The residency shall improve verbal and written communication

skills, research capabilities, knowledge base, and clinical skills of the residents.

Professionalism: The residency shall promote responsible and ethical conduct of the

residents in accordance with the practice standards of the profession of pharmacy.

Vision

The pharmacy residencies at Michigan Medicine will be the most respected postgraduate

educational and training pharmacy residency programs that graduate high quality pharmacy

professionals as measured by their pharmaceutical care skills, scholarly activities, and leadership.

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ASHP Pharmacy Residency Purpose

PGY1 Program Purpose: PGY1 pharmacy residency programs build on Doctor of Pharmacy

(Pharm.D.) education and outcomes to contribute to the development of clinical pharmacists

responsible for medication-related care of patients with a wide range of conditions, eligible for

board certification, and eligible for postgraduate year two (PGY2) pharmacy residency training.

PGY2 Program Purpose: PGY2 pharmacy residency programs build on Doctor of Pharmacy

(Pharm.D.) education and PGY1 pharmacy residency programs to contribute to the development

of clinical pharmacists in specialized areas of practice. PGY2 residencies provide residents with

opportunities to function independently as practitioners by conceptualizing and integrating

accumulated experience and knowledge and incorporating both into the provision of patient care

or other advanced practice settings. Residents who successfully complete an accredited PGY2

pharmacy residency are prepared for advanced patient care, academic, or other specialized

positions, along with board certification, if available.

C. Program Administration

Residency Program Director (RPD)

The RPD has ultimate responsibility for the residency program they oversee. This

responsibility is accomplished with the assistance of the residency program coordinator(s) (RPC)

along with the resident advisory committee (RAC). The RPD is to ensure program goals and

objectives are met, preceptors are appropriately provided for learning experiences, evaluate the

progression of residents to graduation, ensure evaluations are completed, and help implement

any necessary HR-related actions (ie: disciplinary action, approval of leave of absence, etc).

Residency Program Coordinator (RPC)

The RPC works with other RPDs of programs to assure overall program goals and

learning objectives are met, training schedules are maintained, are involved in preceptor

development, help coordinate on-boarding and interview events, and in general provide a support

system to the structure and function of the entire residency program. The RPC also serves as the

permanent chair to the RAC. Each PGY2 program may have their individual RPC.

Residency Advisory Committee (RAC)

RAC is involved in recruiting and selecting pharmacy residents, including the initial

screening of applicants, designing of interview itineraries, and the final ranking of candidates.

Orientation of new residents to the Health System and coordination of all residency functions are

also responsibilities of RAC. Other responsibilities of RAC include mentorship roles for

residents, ensuring ASHP requirements, residency goals/objectives, and project deadlines are

met throughout the year, approval of the rotation schedule and subsequent modifications,

vacation requests, travel to professional meetings and conferences, and resident involvement in

College of Pharmacy functions.

Other programs have RAC specific for their program and with their preceptors with the

purpose of tracking resident’s progress throughout the year.

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RAC Appointed Mentor

All PGY1 residents will be assigned a RAC Mentor. For residents this will be one of the

following: the PGY1 RPD, the RPC, a rotating RAC clinician Member, the rotating College

Faculty member or the rotating pharmacy operations member. For PGY2 residents the RAC

appointed mentor will be their PGY2 RPD.

Responsibilities of the RAC appointment mentor include:

Oversight of resident progress through the residency year

Reviewing evaluations of the resident at least quarterly as part of the quarterly evaluation

Reviewing Research and Writing evaluations with resident

Coordinating of information at the resident quarterly evaluation meetings,

Documenting resident progress and any changes to the residents’ development plan,

Planning any necessary remediation in conjunction with the program RPD and RPC

Chosen Mentor

All residents will choose a mentor. Residents may choose a mentor from an approved list of

mentors.

Responsibilities of the Chosen Mentor include:

Serve as an advisor and advocate for the assigned resident for the course of the year

Help the resident to achieve individual and residency goals and to address any perceived

deficiencies

Function as a confidant for the resident, to whom the resident can voice concerns,

problems or praises

Attend resident’s quarterly evaluation meetings (see description below)

Meet with the resident individually at least quarterly (in addition to quarterly evaluation

meetings).

D. Scope of Activities

Please refer to the University of Michigan Health System Annual Report (located on the

pharmacy website and the internal website) for updates to our department.

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2. Resident Responsibilities

A. Licensure

Pharmacy licensure in the state of Michigan is a requirement for all residents and should be

obtained before the residency begins or as soon as possible thereafter. Michigan licensure

includes a pharmacist license and a controlled substance license.

Disciplinary action will begin on September 1st if licensure is not obtained by that time. If not

obtained by December 1st of that year, the resident will be dismissed. Residents not licensed at

time of clinical weekends or staffing weekends must work to find a replacement so they can

switch out of those clinical/staffing weekends until they obtain licensure.

See policy 115.10: Pharmacy Staff License and Certification Requirements and Verification

B. Graduation Requirements

Criteria as described below must be met in order for the resident to receive their completion

certificate. These graduation requirements refer primarily to the PGY1 Pharmacy Practice

residency. For any deviations from the requirements, please reference each program-specific

appendix in appendix F.

Direct Patient Care Experiences

Completion of 80% or more of ASHP Required Outcomes (educational goals and

associated objectives). A minimum average score of “5 or proficient” is required for the

remaining objectives

All evaluations for rotations will occur and be completed in PharmAcademic® software

program

Scientific Advancement and Research

Research project suitable for publication

o At a minimum, the resident research project will be presented at the Vizient

Poster Presentation (during ASHP Midyear Meeting) and Great Lakes Residency

Conference (oral presentation)

Writing project suitable for publication

Seminar presentation that qualifies for ACPE continuing education credit

Participating in resident research series (optional)

Leadership/Professional Involvement

All residents will participate in a committee (either local, state, or national) to develop

essential leadership skills. They have the responsibility of determining committee

involvement with the assistance of preceptors.

PGY1 residents are required to participate in at least 2 resident-run committees

Participation in leadership series

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Teaching and Academia

All residents receive faculty appointments at the College of Pharmacy. They are

instructors for a one-semester course and may serve as a preceptor for clerkship students

There is an optional teaching certificate opportunity

Longitudinal experiences

Weekend staffing

Code Blue response with Advanced Cardiac Life Support (ACLS) certification

Clinical on-call

Community service

At a minimum, residents will participate in a community service activity. The community

service committee will organize this event on the behalf of the residents.

Attendance and presentation at clinical meetings

ASHP Midyear Clinical Meeting

Great Lakes Residency Conference (unless exempt per RAC approval)

Tracking Graduation Requirements

The graduation requirement checklist (see Appendix A) will be filled out by the RAC assigned

mentor for each resident.

The checklist is to be uploaded once all elements have been completed into PharmAcademic as a

file by the Resident. Compliance audit at the end of each residency year will be perform by the

RPC and will follow up with RPDs when their residents have not been uploaded.

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C. Rotations

The resident will receive 10 one-month clinical rotations, divided between required and elective

experiences. PGY1 residents (PGY1 pharmacy practice, PGY1 investigational drug, and PGY1

HSPAL) will receive a 6-week orientation starting in the middle of June and a one-month

research rotation that always occurs in December.

Required Rotations

The required rotations must be taken at a University Health System site. The required rotations

for PGY-1 are:

Critical care

Practice management

Medication use policy combined with operations

Ambulatory Care: Residents may choose to take a longitudinal rotation or a one-month

rotation

o Longitudinal option: the resident would be in a primary care clinic for one half

day every week for a 5-month block (beginning August 1st during the fall

semester or January/ February 1st for the winter semester)

Pediatrics

Adult internal Medicine

Required rotations for PGY-2 and other PGY1 programs are listed in program-specific materials

in Appendix F.

Elective Rotations

The elective rotations can be filled by an additional required rotation, by choosing any of the

precepted elective rotations, or by soliciting RAC approval for a rotation that does not currently

have a defined preceptor. PGY1 residents cannot exceed 3 rotations in the same specialty area

(ie: max 3 critical care rotations, max 3 oncology rotations, etc).

Offsite rotations (including the VA) require prior approval from RAC and are generally limited

to one per resident per year.

Rotation options are listed in Appendix B.

Rotation Schedule

The residents will be provided with information on when each preceptor/rotation is available.

Residents are to confirm with each preceptor that the preceptor/rotation is still available for that

month prior to adding it to their schedule. The residents will work with the rotation availability

and each other to put together a rotation schedule that is then reviewed for appropriateness by

RAC.

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An example rotation schedule is listed below:

Rotation Month of Residency Year Orientation PGY1: Last 10 business day in June and all of July

PGY2: July

Rotation 1 August

Rotation 2 September

Rotation 3 October

Rotation 4 November

Research December

Rotation 5 January

Rotation 6 February

Rotation 7 March

Rotation 8 April

Rotation 9 May

Rotation 10 June

Rotation Changes

Due to changes in interest, a resident may switch their rotations. Changes to the rotation schedule

must be completed at least 2 weeks prior to a rotation starting. The resident must do the

following:

Confirm rotation and preceptor availability

Seek approval for the rotation switch from the new preceptor, RAC assigned mentor, and

their RPD and RPC

Update the master schedule to reflect all changes

The RPD or RPC will ensure PharmAcademic changes occur to reflect the rotation changes.

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D. Writing Project

The writing project is a mandatory component of the residency experience designed to

expose residents to all aspects of preparing an article suitable for publication. Topics may

include a review of a specific drug, class of drugs, or therapy for a specific disease state. In

addition to review articles, case reports or case series with a review of pertinent literature, or a

survey study with a literature review may also be acceptable writing projects, as long as the

project requires the resident to learn the same skills as writing a review paper.

By the end of July, each resident is required to select a topic of interest from a RAC-

compiled list of subjects and preceptors, or to work with a preceptor to develop an idea outside

of the RAC- compiled list. Acceptable preceptors for the writing project are those with at least

the title of (Adjunct) Clinical Assistant Professor or higher. Throughout the course of the year,

the resident and writing preceptor will meet periodically to discuss the paper and make necessary

revisions in order to complete the project before the end of March. In order to assure substantial

progress is made towards completion of the project, the residents must discuss the writing project

at the quarterly resident/mentor meetings.

The final paper must be in a format suitable for publication and it must be deemed

satisfactory by the preceptor in order to successfully complete the residency requirement. The

writing project’s content will be utilized ultimately for a one-hour ACPE Continuing Education

(CE) seminar.

Resident Responsibilities

Residents are responsible for the following aspects of the writing project:

The majority of the work on the article including:

o Outline composition

o Literature search

o Providing the preceptor with a copy of all articles cited

o Reading all articles cited

o Writing a draft of the article AND

o Making all necessary revisions

Scheduling all meetings with the writing preceptor

o The preceptor’s work schedule must be taken into consideration (ie: staffing and

vacation)

Meet all deadlines established by the preceptor and RAC

Any problems that arise that cannot be easily resolved between the resident and the

writing preceptor should be brought to the attention of the resident's RAC-assigned

mentor and RAC

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Preceptor Responsibilities

The writing preceptors are responsible for the following aspects of the writing project:

Directing the work of the resident throughout the year, providing ongoing critical reviews

of the article as it is being written, and ensuring that deadlines are met

Willing to devote time to the project (ie: assist in literature interpretation and/or writing

of the article) in order to assure that the project is completed within the year

Return any submitted draft with feedback and instructions by mutually agreed upon

deadlines that help the resident meet the final March deadline

Give final approval to RAC that the paper has been satisfactorily completed and is in a

publishable format by filling out the appropriate evaluation form in PharmAcademic®

Responsible for submission of the article to the journal of their choice

o Order of authors for publication of the article is to be decided between the writing

mentor and the resident

Provide feedback to the resident’s RAC-assigned mentor regarding progress on the

project throughout the year and be present to discuss the progress at quarterly assessment

meetings.

o RAC should be notified if significant problems arise

Copies of all drafts should be retained by the writing mentor to document the progress of

the resident throughout the course of the year

Completion of the Writing Project

The writing project is considered complete when the following have been met:

The writing project is completed within nine (9) months of the start of the residency year.

The writing mentor deems that all of the revisions requested have been satisfactorily

incorporated and that the paper is in publishable form

The RAC-E deems that the final report, evaluation form in PharmAcademic, and

preceptor feedback to resident have been satisfactorily completed

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For a suggested writing project schedule timeline, see below:

Date Description

Late June Approved topic and preceptor list is distributed to residents

End of July Resident notifies RPD and writing mentor of selected topic via email

Resident completes computerized literature search and collects and reads

selected major articles on the topic

Early August Resident and preceptor meet to schedule meetings and to discuss scope

of paper and individual responsibilities

Rough outline is drafted

End of August Resident submits completed outline to preceptor for approval

Early September Resident collects and reads all articles

Preceptor is given selected/all articles to read

Schedule standing meetings to discuss progress of writing and allow for

ongoing revisions

Early November Writing project seminar outline and learning objectives must be turned in for

continuing education accreditation of seminar in January/February

Late December Handouts and other final continuing education accreditation materials must

be turned in for seminar in January/February

January Resident submits completed first draft (including text, table, figures, and

references) to preceptor for review

Writing project seminars are scheduled

January through

March

Resident and preceptor meet to discuss necessary revisions and editing

Middle of March Final writing submission to preceptor.

Writing mentor gives their approval and notifies RAC assigned mentor

that they are signed off as completed.

If writing mentor does not give approval, then opportunity for

remediation via editing must be done no later than June 1st to ensure

graduation

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E. Research Project

Each pharmacy resident will complete a longitudinal research project. Three general criteria

should be considered in selecting a research project:

It must deal with a topic of importance to the practice of pharmacy

The project must be such that it can be completed during the residency year

The subject matter should be of interest and value to both the resident and the Pharmacy

Department

Approval of Research Proposals

All research project proposals must be reviewed and approved by RAC

Preceptors submit research project ideas via a web-based form by mid-March each year

Each proposal is reviewed by a review committee selected from RAC members (the RAC

research review committee which includes the RPC, PGY1 RPD, and all non-

RPD/resident members of RAC). The reviewers assess feasibility of the project to be

completed within the residency time frame, appropriate sample size to meet study end

points and feasible for the time frame, appropriate research question and methodology

The reviewer questions/comments are collected and returned to the primary investigator

(PI) within 4-6 weeks of the submission deadline

Several options for responding to comments will be available. Electronic, written

responses are encouraged. Additionally, the primary investigator will be invited to attend

a RAC meeting to discuss feedback with the group in person. Any verbal discussion of

feedback should be summarized in writing by one of the people involved in the

discussion to be shared with the panel of reviewers.

Once the reviewers’ questions have been answered, the PI is informed of the acceptance

or rejection of the proposal

Once accepted, a project that is not yet chosen and completed by a resident may remain

on the list of available projects after brief review for continued applicability and need for

the project in future years

Suitability of Research Projects

Research study design:

o The scope of the project may vary widely. Acceptable study designs include

database, development of service, DUE/MUE, laboratory, and prospective and

retrospective chart reviews. Other study ideas are encouraged and will be

considered by the RAC Research Review Committee on a case by case basis. The

project must provide sufficient and meaningful data to allow reaching a

conclusion suitable for preparation of a final report. Projects do not need to be

publishable but it is preferred that projects have a unique perspective or contribute

to the pharmacy departmental goals. For projects that are not expected to be

publishable, this should be clear to the residents during project selection.

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Feasibility

o The project, including an appropriate typed final report, must be completed in the

time frame of the Residency Program

o The project must be monetarily feasible. For projects requiring outside support, it

is advisable that funding be reasonably certain before a resident becomes

involved.

The project must allow sufficient involvement on the part of the resident. This includes a

literature search to avoid duplication of work, project design, protocol writing, data

collecting and analysis, and preparation of the final report.

The resident must have a sufficient number of collaborators to ensure appropriate

education and guidance (see preceptor responsibilities).

Resident Requirements

Residents must complete a RAC approved research project

o Residents will be provided a list of available research preceptors and projects in

June.

o If a resident has specific research they would like to pursue, then a preceptor must

be identified and a proposal can be submitted to RAC by Mid-July to consider the

research project at that time.

IRB approval or exemption is required PRIOR TO data collection.

The resident is responsible for the majority of the work on the research project. They

should be involved in all aspects of the study:

o Proposal writing/editing

o Study design

o Data collection

o Data analysis

o Final report writing

The resident is responsible for writing both the research proposal and final report

including composition of an outline, literature search, writing the proposal/final report

and making any necessary revisions

The resident is responsible for preparing the IRB application and submitting the

application as soon as possible

The resident is responsible for scheduling all meetings with the preceptor

o The preceptor's work schedule must be taken into account when scheduling

meetings (ie: staffing, vacation)

The resident must meet all established deadlines.

o It is the resident's responsibility to notify RAC if these deadlines cannot be met or

if a revision is necessary in the schedule

o Any problems that arise that cannot be easily resolved between the resident and

preceptor should be brought to the attention of RAC

The resident must complete the research project in order to receive a residency certificate

Resident attendance at the Research Series (optional)

o This is a longitudinal lecture series scheduled to coincide with research deadlines

and activity at the beginning of the residency year

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o It is intended to do the following:

Provide tools needed to conduct residency research projects and future

research

Provide a consistent research experience through reading and discussion

on core topics

Keep residents “on track” to meet requirements and deadlines for their

research projects

Preceptor Responsibilities

The preceptor is responsible for directing the work of the resident throughout the year

including:

o Critiquing the written proposal

o Assisting with IRB application process

o Training the resident regarding the experimental procedures

o Teaching the resident how to perform data analysis and interpretation and

o Critiquing the final report

The preceptor must be willing to devote time to the project and facilitate the resident's

completion of the research project within the residency year

The preceptor is responsible for discussing authorship on any potential manuscripts that

may result from the resident's research.

o This discussion should occur prior to initiation of the research project and should

make clear the resident's responsibilities and the order of authorship.

The preceptor is responsible for editing the final report prior to submission to RAC

Format

The format of the research protocol and final report will vary for each project; clinical

studies may have substantially different formats than administrative or drug use evaluation

studies. However, accepted scientific methods and formats which are appropriate to the subject

matter should be adhered to and the final written report must be of publishable quality.

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The following outlines are suggested as a guide:

Research Protocol Final Manuscript

I. Introduction/Background

II. Objectives

III. Significance of Proposed Project

IV. Methodology

a. Patient Population

b. Inclusion Criteria

c. Exclusion Criteria

d. Procedures (ie: details of

experiment)

e. Data Analysis (ie: statistics)

V. Funding (if applicable)

VI. References

VII. Tables/Figures

VIII. Appendices (if applicable)

I. Introduction

II. Methodology

III. Results

IV. Discussion and Conclusion

V. References

VI. Tables/Figures

Modifications and Progress

If the research project is to be significantly modified after the initial presentation, RAC

must be notified.

If significant progress is not being made, the resident and/or preceptor must notify RAC

Completion of the Research Project

The research project is considered complete after the preceptor and RPD deem that the

final report has been satisfactorily completed

The final manuscript must be sent to the program RPD

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For a suggested research project schedule timeline, see below:

Date Description July 31 Notify RPD of topic and preceptor

Middle of July Start of Resident Research Series

Early September Submit rough draft of research project protocol to preceptor and RPD

October Protocol Presentations to Department

By October 31 Submit final written protocol to preceptor and RPD

November

through March 1

Data collection

March 1 through

April

Complete data collection. Presentation of Results to Department (with

practice presentation by 3 days prior to this presentation)

Late April Presentation of results at Great Lakes Residents Conference

May through June Prepare final manuscript, including results and discussion

sections/completion of research project

Middle of June Preceptor approval of manuscript; notification of approval to RPD/RAC

mentor

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F. Seminars

The pharmacy resident seminar series is designed to provide the opportunity to develop and

improve the resident's presentation skills. During the course of the year, each resident will

formally present the following:

Research project proposal seminar

o Typically presented in October

o These should be approximately 20 minutes in length with 10 minutes at the end

reserved for questions or comments

Writing project seminar (CE presentation)

o Typically presented from January to end of March

o CE presentations should be 45 to 50 minutes in length with 10 to 15 minutes at

the end reserved for questions or comments

o Since this is intended for pharmacists to obtain CE credit, all deadlines and rules

imposed by the American Council on Pharmaceutical Education (ACPE) must be

followed including the evaluation of the residents’ presentations by faculty,

fellow residents and students. Important deadlines must be met for ACPE

approval of CE.

At least 90 days in advance of the presentation to the CE administrator:

Assessment

Updated curriculum vitae

Seminar outline

Learning objectives

At least 30 days in advance of the presentation to the CE administrator:

Final seminar slides

Handouts

Post-test questions

Research project results seminar

Purpose

The objectives of the Residents' Seminar series are to communicate clearly verbally and in

writing. Below is a listing of objectives:

Organize all written or verbal communication in a logical manner

Address all communication at the level appropriate for the audience

Use correct grammar, punctuation, spelling, style, and formatting conventions in the

preparation of all written communications

Speak clearly and distinctly

Use public speaking skills to speak effectively in large and small group situations

Use knowledge of the applicability of specific visual aids to enhance the effectiveness of

communications

When appropriate, use persuasive communication techniques effectively

Prepare all communications so that they reflect a positive image of pharmacy

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Preceptors

The resident will require precepting for each seminar they present. Any other selections must be

approved by the resident's RAC mentor. Below is a listing of the types of preceptors for each

seminar:

All seminars (proposal, writing, and results)

o A member of the faculty from the Department of Pharmacy Services or University

of Michigan College of Pharmacy must serve as the resident's preceptor for each

seminar and physically attend the respective event they precept or send an expert

designee if they cannot attend.

Research seminars (proposal and results)

o The resident's primary research advisor will serve as their preceptor of the

research seminars.

Writing project seminar

o The co- author of the resident's writing project will serve as the preceptor of the

writing project presentation.

Seminar Announcement and Evaluations

The topics of the presentations will be publicized so that College of Pharmacy faculty, hospital

staff, and other interested persons may attend. Each resident presentation will be evaluated on a

standard form by all persons in attendance. These evaluations will be discussed with the

resident's preceptor and mentor(s).

For the Seminar Evaluation Form, see Appendix C

23

G. Teaching Responsibilities

Appointment Process

All residents will obtain adjunct clinical faculty appointments at the University of Michigan

College of Pharmacy. Applications will be completed during orientation.

Assignments of Required Teaching

Dissemination of teaching courses is completed prior to the residency year and assignments are

rotated annually. This is coordinated by the residency teaching coordinator and associate chair of

the College of Pharmacy.

Residents may not request specific courses to teach. Residents may switch their teaching

responsibilities but it must be approved by their RPD and submitted to RAC.

Below is a listing of example courses residents may teach in:

Semester Course Number Course Name

Fall P501 Introduction to Pharmacy

P504 Pharmacy Practice Skills I

P506 Patient Care and Communication

P602; P702 Therapeutic Problem Solving

P703 Health Care Outcomes

P723 Pharmacy Practice Skills III

Winter P512 Self-Care

P514 Pharmaceutical Care

P516 Healthcare Systems

P612; P712 Therapeutic Problem Solving

P616 Health Systems

P733 Pharmacy Practice Skills IV

P727 Career and Professional Development

P557 Drug Abuse in Sports

P767 Critical Care Elective

Note: These courses are subject to change and resident expectations depend on each course. The

resident will receive all information during orientation.

Direct Patient Care Responsibilities While Teaching

During resident teaching experiences, pagers should be covered by primary preceptor or other

pharmacist designated during teaching hours and the respective medical team should be notified

of the temporary coverage changes. Fellow residents will cover the code pager when the resident

is assigned code coverage- this cross-coverage will be coordinated by the resident.

24

Resident Expectations

Residents are expected to complete the following:

Reach out to course coordinator prior to semester starting to begin dialogue regarding

expectations

Each course has primary responsibilities, which will be distributed by the teaching

coordinator during orientation. There are likely additional opportunities available. If you

are interested in exploring ADDITIONAL teaching opportunities, please inform the

course coordinator. There will be additional opportunities presented by the teaching

coordinator as well during orientation.

Notify course coordinators of any expected absences

Residents are not expected to participate in class responsibilities outside of scheduled

class time (this does not include grading or prep work)

The expected time commitment is 2-3 hours/week in class and 1-2 hours of grading per

week. If you are taking longer than this, please speak to the course coordinator.

Course Coordinators Expectations

In order to help ensure a mutually beneficial resident teaching experience, course coordinators

should abide by the following:

Once prepared, share the course syllabus/schedule with the resident’s RPD and the

resident

o Clarify the resident teaching expectations with regard to day and time of weekly

teaching (about 5 hours/week to include in class and prep/grading time)

o Describe the anticipated role of the resident in your course

o Encourage the RPD and resident to communicate early about any additional

teaching opportunities they would like to explore within the course based on the

topic schedule. Note: These additional opportunities could help support

attainment of the teaching certificate

Ensure you are clearly communicating/reinforcing expectations as well as understanding

additional teaching opportunities the resident would like to participate in

Clearly communicate with course faculty in advance to understand what support they

need from the resident on their assigned day in the classroom

Work with your faculty to make suggestions on how to engage the residents in the

sessions in which they are assigned. For example:

o Common tasks

Facilitating a case discussion with the students

Define who is responsible for creating assignments in Canvas and entering

grades

Describe what lab set up is required

Grading assignments

o Additional tasks to further engagement

Updating cases

Writing exam or assessment questions

o Tasks will vary depending on the needs of the course

25

As course coordinator, you should know the expectations and needs of individual faculty

with regard to their use of the pharmacy residents and ensure the load of five hours every

week is not exceeded

Provide feedback to your resident halfway through and at the end of the semester

Clerkship Preceptorship

Residents may have the opportunity to be the primary preceptor for pharmacy students on at least

one inpatient acute patient care service. Precepting goals and objectives will be set by the

rotation preceptor upon discussion with the resident.

Optional: Teaching Certificate

Residents have an optional experience to receive a teaching certificate with the University of

Michigan College of Pharmacy.

In order for a resident to receive a teaching certificate, the resident must complete the following

criteria:

Participation in 75-80% of the Teaching Discussion Series, hosted by the University of

Michigan College of Pharmacy

o Attendance at continuing education courses/seminars/lectures outside of the

Teaching Discussion Series (e.g., CRLT, ASHP, ACCP, AACP) may also count

towards (or in place of) topics presented during the discussion series, at the

discretion of the coordinator of the discussion series

o Resident must lead at least 1 of the Teaching Discussions

Completion of a RAC-approved teaching rotation, or equivalent teaching experience

o Equivalent teaching experience is defined as completion of all of the following

criteria

A minimum of two 60 minute lectures/recitations/labs

This may include the resident’s CE presentation

The resident should be responsible for all (or at least 75%) of the

content for the session

A minimum of 25 contact hours of additional teaching activities, which

may include:

Co-precepting of IPPE or APPE students

Small group facilitation

Serving as a teaching assistant (TA)

Submission of a teaching portfolio, which must include the following items:

o Self-reflection narrative of teaching strengths and areas of needed improvement

o Teaching philosophy

o 3 examples of the resident’s teaching accomplishments (e.g., syllabus, CE

presentation slides, active learning exercises, quizzes, exams)

26

o A list of Teaching Discussion Series sessions attended (or equivalent experiences,

as defined above

o A description of teaching activities completed which are deemed equivalent to a

teaching rotation (if the resident did not complete a teaching rotation)

Participation in a minimum of 2 admissions interview sessions, ideally one per semester

Residents must complete the requirements for a teaching certificate within one academic

year (July to June)

Residents must submit teaching portfolios to the RAC co-chairs in order to be considered

for receipt of a teaching certificate

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H. Code Blue Response

ACLS Certification

All PGY1 pharmacy practice residents are required to be ACLS certified. ACLS certification is

required before residents are allowed to respond to codes by themselves.

PALS Certification

PGY2 residents in Pediatrics and Emergency Medicine are required to be PALS certified.

There may be opportunity for additional PALS certification for interested PGY1 residents. If a

PGY1 resident is interested in PALS certification, they must be ACLS certified prior to

orientation and inform the Residency Coordinator of their interest in PALS certification. If a

PGY1 interested in PALS certification does not have ACLS certification prior to July

orientation, their request will be brought to RAC for a formal approval.

Resident Code Pager Expectations

Residents will be assigned in weekly blocks code blue pager coverage. The schedule is

maintained by the Emergency Preparedness/Code Pager Committee (EPCP) Chair. Any major

changes to the schedule must be communicated and coordinated by the EPCP chair.

Below are the expectations for coverage:

The resident must remain in University Hospital from 0700 to 1600 on Monday through

Friday to respond

o You may still attend/schedule meetings, presentations, etc in UH, CVC,

Taubman, Cancer Center, or UH South as long as you can respond to a code

within a reasonable time

o You cannot be holding the pager if:

You are on your Pharmacy Operations rotation

You are offsite for the entirety of the time you are on code coverage (ie:

out of town, on medication use policy rotation, off-site ambulatory

rotation, etc)

The resident code pager is also assigned during weekend/holiday resident coverage

o During day shift (0700-1530)

Any one (1) clinical dayshift pharmacist (resident or specialist) shall

respond to the code with a supplemental box; a backup pharmacist from

the dispensing satellite should also attend

o During afternoon shift (1530-2100)

The clinical evening (CE) pharmacist (or LACE if still there) shall

respond to the code with a supplemental box; a backup pharmacist from

the dispensing satellite should also attend if able

The resident must carry the red pager with volume on at all times

The resident must respond immediately to all codes called in UH, CVC, Taubman,

Cancer Center, or UH South

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o Residents are not responsible for codes in Mott/C&W

Residents will be provided back-up by pharmacists but are expected to be primary

o If no pharmacist back-up arrives, the resident must call pharmacy for back-up

o Identify and communicate with the pharmacist backup if you have any questions

or need any assistance

Residents must stay for the entire duration of the code or until dismissed from the lead

physician

Respond to any follow-up from the code evaluation services as appropriate (may or may

not contact you)

Reach out to Emergency Preparedness/Code Pager Committee (EPCP) Chair, RPD, or

RPC if code pager duties are impacting your ability to be successful in residency for any

reason

Documentation After a Code Blue

PGY1 residents must document learning points in the on-call report.

The resident must also send a CANOPy form to the pharmacist preceptor back-up for feedback

and send the completed form to their RAC assigned mentor

Orientation to Code Blue Response

An orientation to the contents of the cardiac arrest drug box, as well as pharmacist

responsibilities at an arrest will be provided during orientation through a Code Response

Training Class.

29

I. Staffing

Commitment

PGY1 Practice (including PGY1 of IDS and PGY1 of HSPAL)

o 2 weekends per month divided between clinical day, clinical evening, and staffing

operations starting in August. Staffing could include both adult and pediatric

patients.

o For the month of July, PGY1 residents will be assigned 2 training weekends

consisting of 1 clinical weekend and 1 operations weekend

PGY2 Specialty residencies

o 15 weekends per year of pharmacokinetic/anticoagulation/parenteral nutrition

coverage starting in August for the majority of specialty programs

Oncology PGY2: weekend coverage will include infusion center staffing

one weekend per month

Emergency PGY: weekend coverage includes adult or pediatric

emergency rooms

o For the month of July, PGY2 residents will be assigned to train with a clinical

pharmacist on one weekend

Holidays

Residents will work equal weekends and holidays each within their respective

category (PGY1 or PGY2)

Each resident will work 1 major holiday block and 1 minor holiday

o Major holidays: Thanksgiving Day, Christmas, New Year’s Day

Each holiday block consists of 2 weekend days and 3 weekdays that

occur around and on the holiday. These exact dates will shift slightly

each year depending on the day the holiday falls.

“Gap days” between Christmas Block and New Year’s block

These are 2 days that are identified between the two blocks in

December

It is required for residents to be physically present during gap

days on campus. Residents will staff 1 day and the other day

will be on research rotation

o Residents may take PTO ONLY on their research day

and must follow time off request process.

The residents will all work one major holiday block and have the other

2 holiday blocks off

o Minor holidays: Independence Day (returning residents only), Labor Day,

Memorial Day

Each holiday block consists of 3 days that occur around and on the

holiday. These exact dates will shift slight each year depending on the

day the holiday falls. The residents will all work one minor holiday

block and have the other 2 minor holiday blocks off

30

Types of Shifts for Staffing

Operational staffing shift for residents is an eight-hour shift plus lunch/dinner break.

Current hours are:

o Day shift: 7:00 to 15:30

o Evening shift:

On Operations rotation: 15:30 to 00:00

On weekends: 12:30 to 21:00

Clinical staffing shift times:

o Day shift: 7:00 to 15:30

o Evening (also known as CE): 12:30 to 21:00

Operations Schedule Coordination

The RPC will create the schedule for July and August for both operations and pharmacokinetic/

anticoagulation/parenteral nutrition coverage. The returning PGY2 HSPAL residents will be

responsible for the remainder of the schedule (September through June). They will coordinate

scheduling with the RPC, a pharmacy manager, and the scheduler as needed. The final schedule

will be given to the Team Leads/Assistant Directors who will post it in the electronic scheduling

system.

Trading Shifts

Residents will be allowed to trade weekends (clinical for clinical, CE for CE, and operations for

operations when possible) but must communicate the changes to the appropriate preceptors and

changed by the requester on shared drive resident weekend schedule. Trades should be

communicated to the scheduler to ensure it is added to the electronic scheduling system.

Feedback on Staffing

Residents will be evaluated in PharmAcademic® for clinical and distributive components via the

CANOPy longitudinal rotation.

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J. Clinical On-Call Experience

Overview

Pager: #5467

Scheduling

o After resident weekend schedule available, on-call coordinator will attempt to

assign PGY1 residents on-call shifts to coincide with resident’s CE or clinical day

weekend shift

o On-call shift may coincide with code pager week

Shift: Monday 08:00 – Monday the following week 07:59

Structure and Resident Responsibilities

The PGY1 on-call will sign into the on-call pager and be responsible for all clinical

questions that are received during weekday off-hours (i.e. after 3:30 PM) and during the

weekend (24/7)

o Clinical pharmacists who encounter non-urgent questions deemed useful for

clinical on-call may page the resident on-call during the weekday daytime hours

to explore the question after 3:30 PM that day.

Appropriate clinical questions may be defined as those that require a review of primary

literature or in-depth review of clinical resources, clinical status of the patient, and/or

would result in a significant delay in workflow if handled by the clinical staff in-house

during off-hours.

o Normal workflow, basic PK, or anticoagulation questions are not appropriate

o Use of residents to double-check enrollment in REMS programs is not appropriate

PGY2 Backup Responsibilities

One PGY2 will be scheduled as backup per week

o PGY2 residents excluded from this responsibility are: Administration,

Ambulatory Care, Informatics, Pain/Palliative Care, and Research (IDS)

The PGY1 may contact the assigned PGY2 back-up to review responses prior to

providing an answer to the medical team if assistance is required with complex questions

o Use of the PGY2 backup is expected during the first two on-call segments

covered by a resident

o PGY1 residents should touch base with the PGY2 backup prior to beginning their

on-call week (i.e. to determine best method of contact, if the PGY2 would like to

review answers prior to submission of the on-call report, etc.)

Documentation

Questions and answers need to be documented in the Excel spreadsheet located in the

On-Call folder on the resident shared drive (Resi:Year-Year)

A summary of all clinical interventions and codes attended during the shift should be

documented in the on-call report

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A minimum of 3-4 interventions will be required for each resident (enough to fill an hour

of discussion)

o If the resident on-call has difficulty attaining this number of cases, he/she will

discuss with the backup PGY2 resident and include cases from rotation or cases

assigned by the PGY2 backup. Contact the on-call clinical coordinator if there is

still difficulty obtaining the required number of cases.

Documentation should be de-identified when emailed, but include the unit/service such

that primary pharmacists in-charge of that service may follow-up as appropriate

Follow-up with the clinical pharmacist covering the patient during the clinical day after

answering a question is expected and should occur either verbally or via email so that the

resident can receive adequate feedback on interventions

Documentation in the on-call report should be very brief and does not require any

references to primary literature for purposes of documentation in the excel spreadsheet.

Emailing On-Call Report

Email the completed on-call report to “PHARM-ON-CALL” (includes Pharm-Clinical, Pharm-

Resi, and clinical generalists) and CC the assigned preceptor moderator for that week. The

assigned preceptor moderator is found on the on-call schedule in the shared drive.

Overall, the email invitation to attend on-call should include:

Completed excel spreadsheet with intervention documentation

Location and time of the meeting

Preceptor moderator

Who will be the next PGY1 resident on-call and the on-call pager number (5467)

On-Call Discussion

The Tuesday following an on-call shift, the residents will meet from 12:00-13:00 and

discuss clinical questions from the previous week.

A minimum of one clinical preceptor will act as moderator as well as the PGY2 backup.

o The resident on-call coordinator will be responsible for contacting preceptors to

obtain availability and creating a schedule for the year.

o All preceptors are invited to attend all sessions and will be distributed the

schedule at the beginning of the year.

Attendance for PGY1: REQUIRED

o In the event of ANY anticipated absence (pre-approved or otherwise) or to request

an absence, contact the resident on-call coordinator AND on-call clinical

coordinator

o Pre-approved absences include: Pre-P&T and P&T while on Pharmacy

Operations/Med Use Policy rotation, days where the resident is off-site for Med

Use Policy (MUP)

If the resident is on-site for MUP, they should attend on-call report

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Attendance for PGY2: Highly encouraged and REQUIRED if they were the back-up

o Ultimately attendance is at the discretion of the PGY2 RPD

o If the PGY2 backup cannot attend, the program RPD must be alerted

The PGY2 backup will run the case discussion and prompt all residents for input on cases

(round table format for discussion). If the PGY2 backup cannot attend, the preceptor

moderator will run the case discussion.

The use of computers by PGY1s during on-call report is highly discouraged with the

exception of the PGY1 presenter

Preceptor Moderator Responsibilities

The moderator needs to facilitate a meaningful discussion where the goal is NOT for the resident

to become the expert in the area or literature for which the question is asked, but rather to discuss

their clinical approach, have other residents engage in that discussion, and for the preceptor to

share their critical thinking process when presented with a unique patient case that may be out of

their realm of specialty.

Evaluation

The preceptor moderator and PGY2 backup will provide feedback to the on-call resident

regarding his/her performance privately during the last ten minutes of the on-call

discussion

The PGY2 backup will complete a CANOPy evaluation form for PGY1s for the week.

The CANOPy form will also incorporate a brief typed summery (by the PGY2) of the

moderating preceptor’s verbal feedback from on-call report

Preceptor Coordinator Responsibilities

Concerns about the clinical on-call program as a whole should be directed to the resident on-call

coordinator and the on-call clinical coordinator. The clinical coordinator responsibilities include:

Maintain quality of on-call program and spearhead changes along with the resident on-

call coordinator

Maintain consistency and quality of resident on-call reports each week

o Appropriate format followed

o Report submitted on time

o Ensure PGY2 evaluations of PGY1s via CANOPy forms are completed

Ensure resident participation and attendance at on-call discussions

Ensure appropriate assigned preceptor participation each week

Assist with the guidance of on-call discussion and ensure all attending PGY1 residents

participate

Provide feedback to PGY1 residents regarding on-call reports and quality of discussion

each week

Take resident and preceptor feedback to RAC regarding on-call program, as required

Provide logistical support for residents in scheduling and other issues, as needed

o Work in conjunction with and mentor the resident on-call coordinator

Ensure on-call discussion rooms are booked for the upcoming calendar year

34

Resident Coordinator Responsibilities

Concerns about the clinical on-call program as a whole should be directed to the resident on-call

coordinator and the on-call clinical coordinator. The resident on-call coordinator responsibilities

include:

Work in conjunction with the on-call clinical coordinator

Create on-call schedule for PGY1 residents, PGY2 backups, and clinical preceptor

moderators

Reach out to preceptor moderators for availability and schedule

Send out Outlook calendar invitations for on-call report

K. RAC Meeting Attendance and Minutes

Residents will be scheduled to be the RAC secretary for 1 meeting throughout the residency year

starting in August. The purpose of being RAC secretary is to provide the resident’s exposure to

how programs are designed and conducted.

The residents have two responsibilities when they are secretary and will work with the RPC to

prepare:

Agenda preparation

o The resident will elicit agenda items from RAC members and chief residents

about 2 weeks prior to the RAC meeting

The email is to be sent to PHARM-RAC, Pharm-RESI, and Alexandra Lin

o The resident must confirm the room number and call-in information is available

through the calendar invite

o Once all agenda items have been collected, send proposed agenda to the RPC by

noon on the Monday prior to the next RAC meeting for approval

o Once approved, the resident is to send the final agenda and all submitted

documents via email to the above addresses

Send no later than the end of the day on Tuesday before the RAC meeting

so everyone has about 4-5 business days to read up on proposals

Minutes preparation

o Once minutes are written, send a draft to the RPC for approval/editing

o Once approved by the RPC, send an email to the above addresses

Approved minutes will be posted to the pharmacy clinical webpage

35

L. Meeting Attendance

Recruitment Showcases

There are four residency recruitment showcases which require resident participation. Attendance

at the Southeastern Michigan Society of Hospital Pharmacists (SEMSHP) Residency Showcase

in October/ November, the Western Michigan Society of Hospital Pharmacists (WMSHP) in

October and the College of Pharmacy Career Gateway in October/November at the University of

Michigan is required of residents that are assigned to attend. All residents attend ASHP Midyear

Clinical meeting during the first week of December.

Recruitment showcase assignments are completed during orientation by the Chief Residents.

Revisions of recruitment materials must be completed before these showcases; pamphlets and

brochures are available, but may need updating. All residents are responsible for organizing,

preparing, and transporting showcase materials.

Clinical Meetings

All residents must attend and present at clinical meetings. These clinical meetings include:

ASHP Clinical Midyear Meeting: First week of December

o All residents present their research protocol at the Vizient poster session (except

PGY2 HSPA residents)

Great Lakes Pharmacy Residency Conference: Late April

o All residents (except PGY2 Pain and Palliative Care) present an oral platform

presentation

PGY2 specialty conference (ie: HOPA, SCCM, ICAAC, etc)

Any deviations from the meeting attendance must be brought to RAC for approval by the RPD.

36

M. Resident-Run Committees

PGY-1 residents are expected to be involved in two committees, while PGY-2 residents are

expected to be involved in at least one committee. Residents will be assigned to the committees

based on areas of interest by the Chief Residents. Most committees have a preceptor chair to

facilitate and act as a support system. Restructuring of committees and responsibilities is done by

the chief residents in conjunction with the RPC.

Below is a brief description of the available committees:

College of Pharmacy / Teaching Series Committee

Purpose

o To organize and communicate the requirements and responsibilities for all

interested residents to achieve the teaching certificate offered by Michigan

Medicine, potentially including VA and St Joe’s residents

Responsibilities

o Organize teaching series lectures, including topics, lecture schedule, location, etc

o Ensure all requirements are met for all interested residents to earn certificate

o Communicating with the committee preceptor and other college of pharmacy

faculty to resolve issues and plan lectures and other teaching certificate

responsibilities

Community Service Committee

Purpose

o To organize community service events for the residency class to participate in. All

residents are required to participate in at least one event per year.

Responsibilities

o Organize at least 2-3 community service events spread throughout the year

Emergency Preparedness/Code Pager (EPCP) Committee

Purpose

o Plan and manage the resident code pager responsibilities throughout the year as

well as provide emergency preparedness training and communication as needed

Responsibilities

o Organize the resident code pager schedule

o Coordinate ACLS +/- PALS training for incoming residents

o Coordinate Michigan Medicine specific code response training with MM

Committee

o Update residents on emergency preparedness measures specific to Michigan and

Michigan Medicine

o Facilitate any emergency preparedness training or communication that occurs

during the year

Great Lakes Pharmacy Resident Conference Committee (GLPRC)

Purpose

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o Plan the GLPRC trip to Purdue University

Responsibilities

o Arrange hotel accommodations for two nights in West Lafayette, IN

o Inform residents of the deadlines for abstracts and presentation slide submission

o Reserve University-owned cars for transportation to and from Indiana

o Make a dinner reservation for the whole group

Historian Committee

Purpose

o To maintain documentation of resident activities throughout the year through the

use of multi-media in a history committee book and to keep resident alumni

informed of annual residency events (e.g. Annual Report)

Responsibilities

o Every May/June, update history committee book with residents’ post-residency

plans and personal email addresses

o Works with social committee to compile pictures from various social and

residency events/activities

o Send out email to alumni for updates

Midyear Committee

Purpose

o This committee handles everything that deals with Midyear. From the booking of

hotels, to the event planning during Midyear, to giving instructions on re-

imbursement, this is your one stop shop for making sure Midyear goes smoothly

for residents

Responsibilities

o Reserve a block of rooms when ASHP makes it available

o Send out reminders preparing for midyear

Re-imbursement instructions

Registration instructions

Poster/abstract deadlines

o Send out instructions for how to print posters

o Plan the resident dinner while at midyear

o Set up PPS booth assignments

o Get booth materials organized and shipped to Midyear

Newsletter Committee

Purpose

o The Newsletter Committee submits one article for publication in the December

issue of the MSHP Monitor (MSHP = Michigan Society of Health-System

Pharmacists, a publication of the Michigan Pharmacists Association)

o The Committee also puts together the year-end newsletter that is distributed to

resident alumni

Responsibilities

o MSHP Monitor submission by November 1st

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o Year-end alumni newsletter by May 1st

On-Call Coordinator

Purpose

o The coordinator will facilitate on-call report scheduling for the PGY1 residents

and PGY2 backups

o The coordinator helps ensure appropriate preceptor attendance and mentorship at

each on-call report

Responsibilities

o Contact preceptors to obtain availability for on-call report

o Create on-call report schedule and assign residents to each on-call shift

o Send out Outlook invitations with room locations for each on-call report

o Track attendance of PGY1 residents at on-call report as needed

o Troubleshoot any logistic issues with on-call scheduling

Orientation and Training Committee

Purpose

o The committee works with the residency coordinator to ensure feedback from

previous year(s) is constructively incorporated into next year’s orientation and to

streamline training for new residents

o The purpose is to serve as a guide for PGY1s and incoming PGY2s through direct

mentorship and by providing resources

Responsibilities

o Create/update residency survival [pocket] guide

o Participate in orientation debrief

o Provide consultation to residency coordinator on the orientation schedule

o Communicating with new residency class regarding NAPLEX and MPJE

materials and deadlines

o Provide information on housing in Ann Arbor

o Organizing office seating chart(s)

o Offering tours during orientation

o Organizing resi-buddies

Residency Trip Committee

Purpose

o To coordinate the annual residency exchange program

Responsibilities

o Coordinate the annual residency exchange (year-long activity) which includes

planning/organizing the following:

Site

Budget

Transportation

Food

Social

Lodging

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Social Committee

Purpose

o The purpose of the social committee is to organize events to ensure the residency

class spends time together outside of work

o It is a way for the group to bond and get to know one another better in a more

relaxed setting

Responsibilities

o Create a monthly plan of activities residents can attend as a group

o At the end of the year, this committee organizes an event to welcome the

incoming class

Treasurer

Purpose

o To organize and monitor the Resi-Bank account, which funds gifts for individuals

throughout the year and t-shirts for Great Lakes Residency Conference

Responsibilities

o Collect dues from each resident ($50) at the beginning of the year

o Manage and budget funds throughout the year for various activities

Webmaster

Purpose

o Maintain the pharmacy residency website, and occasionally handle other tech

issues as they arise

Responsibilities

o Collect information from all the residents for their resi website profiles

o Arrange for individual headshots to include with the profiles

o Ensure preceptor lists are current and accurate on the resident website

o Upload resident CE presentations to the appropriate MBox folder

End-of-Year Banquet (EOYB) Committee

Purpose

o Plan and host the end of the year banquet in mid-late June to honor all residents

completing the residency program and thank preceptors for their support of the

program

Responsibilities

o Choose and reserve a venue for the banquet: order food (usually buffet style),

cash bar, any room set up/equipment needed

o Work with John Clark to set a budget for the banquet

o Send out invites to residents and preceptors

o Purchase gifts for individuals at the banquet

o Choose a preceptor to give an address

o Coordinate resident superlatives

o Work with RAC to determine order of events and awards/certificates to be given

40

End-of-Year Video

Purpose

o To summarize the year’s residency experience from the resident perspective in

video format to be shared at End of Year Banquet

Responsibilities

o Create a master video (from day 1 of residency) that’s 20-30 minutes

documenting the year

41

3. Evaluations

All evaluation forms (except where noted) are located either in PharmAcademic®.

A. Assessment of Baseline Skills and Interests

Prior to the scheduling of rotations, the resident will complete the Entering Objective-Self

Evaluation form.

After reviewing the Residency Program specific goals and objectives, and after meeting with all

preceptors, the resident will be assigned a mentor from RAC. The resident will complete the

ASHP Entering Interests form and discuss with the RAC mentor.

B. Quarterly Evaluations

Each quarter (1st, 2nd, 3rd, and 4th), a quarterly Development Plan will be completed by the

RAC mentor for each resident. The Development Plan will incorporate feedback from the

resident, writing and research project preceptors, and other preceptors that the resident

trained/interacted with during but not limited to weekend CANOPy and staffing shifts, duty

hours, rotation preceptors and Code experiences and discussed with RAC during the respective

quarter.

The resident will set up a meeting with their RAC mentor, resident appointed mentor and writing

and research preceptors quarterly, to discuss progress, goals and areas for improvement. This

form will be dated and timed to the meeting time and all participants will be added as being at

the meeting. The form once completed will be uploaded into the residents PharmAcademic file.

C. Rotation Evaluations

At the end of each rotation, the preceptor and resident will evaluate each other's performance on

the rotation. Once the RPD deems the resident can effectively self-evaluate, the resident will no

longer be required to continue with the self-evaluation.

Each will complete the appropriate evaluation(s) in PharmAcademic®. A rotation-specific

summative evaluation will be used by the preceptor to evaluate the resident’s progress on

rotation-specific goals. In addition, each preceptor will evaluate the resident’s performance on

the overall residency goals and objectives, as demonstrated on their specific rotation.

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D. Evaluation Scale and Key

Scale Terminology Description 1 Unsatisfactory Progress Resident requires significant modeling (direct

preceptor involvement) in order to solicit

appropriate patient care and/or results on

residency requirements

2 --- ---

3 Beginner

(Needs Improvement)

Resident requires and accepts coaching on patient

care and other residency requirements. Often the

level most residents will achieve immediately

following their Doctor of Pharmacy.

4 --- ---

5 Proficient

(Satisfactory Progress)

Resident is making satisfactory progress for that

point in the residency year. The resident requires

less coaching and is able to complete residency

expectations. The preceptors are able to facilitate

learning often rather than direct modeling and

coaching

6 --- ---

7 Achieved for Rotation

(ACH)

---

8 Achieved for Residency

(ACHR)

Resident appropriately completes patient care or

other residency requirements at a level

appropriate for someone completing either a

PGY-1 or PGY-2 residency year. Preceptors are

able to facilitate the learning of the resident

completely rather than modeling or coaching.

9 --- ---

10 Outstanding This resident is performing at a level that is equal

to a seasoned, established preceptor. This should

probably never be achieved in PGY-1 and

achieved rarely in PGY-2.

E. Writing Project Evaluations

The resident’s writing project will be evaluated quarterly via PharmAcademic® evaluations and

quarterly evaluations. At each quarterly assessment, the resident will also evaluate his/her project

preceptor. This evaluation is shared with the preceptor and the resident’s mentor and/or

residency program director.

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F. Research Project Evaluations

The resident’s research project will be evaluated quarterly via PharmAcademic® evaluations and

quarterly evaluations. At each quarterly assessment, the resident will also evaluate his/her project

preceptor. This evaluation is shared with the preceptor and the resident’s mentor and/or

residency program director.

G. Seminar Evaluations

There are three main seminars that are formally evaluated throughout the residency year.

Research project proposal

Writing project/CE presentation

Research results presentation

All seminars use the seminar evaluation form (see Appendix C).

H. CANOPy Evaluations

There are four separate evaluations tied to the CANOPy learning experience:

Two clinical weekend evaluation forms

One clinical on-call evaluation form

One code blue evaluation form

Skills are assessed by preceptors during each weekend worked, on-call experience and code

experience. The process for obtaining timely feedback is as follows:

Clinical weekend evaluation forms

o To be completed each clinical weekend the resident works

o One form for the clinician who worked with the resident that weekend

o One form to be given to a clinician who will be following patients during the

week where significant responsibility or intervention over the weekend. The

resident is responsible for ensuring that they get feedback in all areas through the

variety of preceptors asked to complete these evaluations

Clinical On-Call evaluation form

o To be completed each shift the resident is on call and receives a clinical question

by the PGY-2 resident back-up

Code evaluation form

o To be completed each week by one pharmacist that attended a code with the

resident during that week

Resident Responsibilities with CANOPy Evaluations

Ask the pharmacists/preceptors to complete the evaluation forms and provide them with

the appropriate form and the name of their RAC Mentor

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Notify their RAC Mentor which pharmacists/preceptors should be sending them

evaluation forms for each experience at the beginning of the week the evaluation form

should be completed

Pharmacist/Preceptor Responsibilities with CANOPy Evaluations

Complete the form and return it to the resident and resident’s RAC Mentor by the Friday

following the experience (weekend, or end of on-call or code week) via email

I. RAC Assigned Mentor Responsibilities with All Evaluations

Monitor the resident’s progress through all evaluations and follow up with the resident

and/or preceptors regarding any issues identified in the evaluations

Ensure they receive the evaluations in a timely manner. If the evaluations are not

received in a timely manner despite efforts of the RAC Mentor, bring to the attention of

John Clark

Incorporate these formative evaluations into quarterly summative Development Plans:

o Quarterly PharmAcademic® evaluations on goals and objectives above

o Summative Self-Evaluation by Resident

o Summative Evaluation by RAC Mentor

o Learning Experience Evaluation by Resident

o Preceptor Evaluation by Resident

To include feedback on RAC Mentor and feedback on other preceptors

they have worked with throughout these experiences

o Clinical on-call will be evaluated quarterly

J. Staffing Evaluations

This evaluation should be completed after each staffing experience in the 6th floor pharmacy.

The process is as follows:

The evaluation will be completed by a pharmacist staffing with the resident

Residents should request that the pharmacist return completed evaluations to Kristen

Schaeffler and the resident

Evaluations should not be forwarded to the RAC mentor unless the resident is not

improving at the desired rate as they are not responsible for PharmAcademic® evaluation

for this experience

K. Teaching Evaluations (see appendix E)

An optional teaching evaluation is available for course coordinators to provide feedback

to residents during their teaching experiences

This evaluation could be uploaded into PharmAcademic for reference

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4. Early Commitment Process

The decision regarding participation of each PGY2 residency program in the early acceptance

process will be left up to the individual programs. See Appendix D for early commitment process

diagram.

PGY1 Resident Eligibility Determination

RAC will meet to discuss whether the current PGY1 residents are eligible candidates for early

commitment on the last RAC meeting in October. RAC will determine the acceptability of each

resident’s candidacy based upon his/her ability to meet deadlines, feedback from his/her project

preceptors (writing and research), monthly rotational evaluations and feedback from preceptors

of longitudinal experiences (e.g. kinetics, operations, ambulatory care).

Resident Responsibility

Once a PGY1 resident is deemed an eligible candidate for the early commitment, the resident

should send a formal statement of intent to the program director(s) of the program(s) for which

the resident would like to apply. A resident may apply to more than one PGY2 program.

Residents are encouraged to notify the program directors of the PGY2 residencies for which they

are interested and/or intend to apply for early commitment as soon as possible in order to

facilitate interview scheduling.

Pre-Midyear and Post-Midyear Early Commitment Options

There are two timeline options for the early commitment process and is up to each PGY2 RPD.

If there are multiple interested candidates, it is also up to the discretion of the PGY2 RPD to

offer early commitment to the resident(s) versus attending ASHP Midyear to recruit further.

An interview must be conducted to evaluate the PGY1 resident’s candidacy. PGY2 RPDs are

encouraged to discuss each candidate’s performance with his/her project and rotational

preceptors. An assessment of each applicant’s candidacy must be documented in writing. The

interview process must be completed by Monday of the week following the Midyear meeting but

may be completed in advance in light of time and schedule constraints.

Pre-Midyear early commitment

o If offered, residents may early commit as early as the date of the last RAC

meeting in October and will not need to participate in PPS if they chose to early

commit at this time

o If the resident wishes to move forward in the early commitment process, they

must accept the offer no later than the Monday after Midyear. The timeframe will

be specific by the PGY2 RPD.

Post-Midyear early commitment

o PGY2 RPDs have the option of interviewing eligible Michigan Medicine PGY1

resident(s) but still attend Midyear to recruit. This allows the Michigan Medicine

46

PGY1 resident(s) to also participate in Midyear recruitment for the programs they

are interested in pursuing [ie: personnel placement service (PPS)].

o PGY2 RPD must offer early commitment to the resident no later than Monday

after ASHP Midyear

o If the resident wishes to move forward in the early commitment process, they

must accept the offer no later than the Tuesday after Midyear meeting by the end

of the business day

Actions with Accepting or Declining Early Commitment

Both PGY2 RPD and resident accept early commitment

o The signed early commitment agreement must be completed and sent by the date

specified annual by the National Matching Service (NMS) and ASHP

Resident declines or is not offered the early commitment offer

o If a PGY1 resident declines an offer for a residency position, the PGY2 director

of that program may make an offer to another PGY1 resident who was also

deemed an appropriate candidate for the early acceptance program and who

completed the interview process for that program

o If a PGY1 resident is not offered or declines an early acceptance position, the

resident will be permitted to apply to a Michigan Medicine PGY2 program

through the formal application process without prejudice or bias.

Additionally, should a PGY1 resident who did not participate in the early

acceptance program decide to apply to a Michigan Medicine PGY2

program, their candidacy will also be considered without prejudice or bias.

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5. Chief Residents Responsibilities

Description

The Chief Pharmacy Residents are two pharmacy residents (a PGY1 and a PGY2) who

coordinate the activities of all concurrent pharmacy residents (Pharmacy Practice and Specialty).

Qualifications

For the Chief Pharmacy Resident positions, the following are minimum criteria that should be

considered to qualify:

Must be a pharmacy resident for the full fiscal year for which he/she is a Chief Resident

Has the following qualifications as evidenced through interview, previous

accomplishments as documented on the curriculum vitae, letters of recommendations

and/or previous evaluations:

o Leadership skills

o Good communication skills

o Ability to work with others and coordinate activities

o Ability to manage time efficiently

o Expressed interest in the positions

Nomination

Nomination by current residents is due by mid-July to RAC. Each resident shall individually and

confidentially submit to the RPC their choice for the Chief Resident position.

RAC will review the qualifications of the nominees and evaluate whether he/she is qualified for

assuming the role of Chief Residents.

It is left to the RAC discretion to accept or reject the nominations. In case RAC finds the

nominees to be inapt for the position, or in case there is a conflict amongst the residents on

nominations or inability to decide on one nominee, then a Chief Resident will be selected and

appointed by RAC considering the qualifications listed above.

Chief Resident Responsibilities

Attend RAC meetings

o PGY1 and PGY2 chiefs will attend all RAC meetings

o They will have 1 vote each at RAC

o They will not rotate in as secretary

o Chiefs will disseminate information/decisions from RAC meeting to all residents

o The PGY1 chief will sit on the Clinical Practice Committee (CPC)

Make and post a schedule for the following activities in the resident’s year:

o RAC secretary

o Seminar presentations

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Schedule monthly meetings in conjunction with the department administration assistant

for the following meetings:

o Leadership meetings with CPO/Associate CPO/Directors/RPC monthly lunch

meeting with all residents

o Residents-only meeting (required for all residents to attend)

Create an agenda for the meeting

Discuss issues to go to RAC, upcoming trips, committee updates, etc

Regularly gather feedback on kinetics, teaching, clinical on-call, etc

o RPC meeting with both chiefs

Make schedules and book rooms for seminar presentations

Plan the day if another residency program comes to visit Michigan Medicine residency

program

Help schedule anything else that comes up that requires scheduling

Residency Committees

o At the beginning of the year organize the residents into committees based on their

preferences

o Throughout the year follow-up with committees to make sure they are on task

Benefits of Being Chief Resident

Due to the additional responsibilities of the Chief Pharmacy Resident, this individual will be

entitled to the following benefits and/or relief from standard resident obligations:

Not required to serve as RAC secretary

Role on groups projects limited to oversight and supervision of activities

Opportunity to develop/refine leadership skills

More direct involvement in residency program and larger opportunity to help shape the

program

Opportunity to go to a State/National Leadership Conference

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6. Corrective Action and Dismissal

Pharmacy residents are expected to perform and behave in a manner consistent with expectations

of all other UMHS employees. If a resident breaches these expectations, then the situation and

the resident will be managed in the same manner as any other UMHS employee, which can

include dismissal. One specific area that may result in dismissal of a pharmacy resident is failure

to make satisfactory progress in achieving the goals and objectives of the residency training

program.

The following areas will be monitored and subject to escalating corrective action:

Sick time usage

Rotation evaluations

o Following a preceptor evaluation in which a resident is categorized as “less than

average” in overall performance, the resident will be required to meet with the

RPD/RAC mentor no later than the second regularly scheduled meeting

o The resident will have to outline and explain the reason(s) for their previous poor

performance, concluding with an outline and action plan for correction of

previous problem(s)

Writing project

o See responsibilities and deadlines in section D

Research project

o See responsibilities and deadlines in section E

o Assuming that the research deadline extension process has occurred through

RAC, satisfactory completion of the research project is still expected by June 30th

of the residency year

Extension of this deadline may be allowed by RAC or RPD upon written

request by the resident. Under no circumstance will project deadline by

extended beyond June 30th. Compliance is required prior to issuing a

residency certificate.

Theft and moral turpitude

o A resident who is convicted of theft of a controlled substance or a felony is

subject to immediate residency termination and dismissal

Licensure

o Disciplinary action will begin on September 1st if pharmacist/controlled substance

licensure is not obtained

o The resident will be dismissed from the program if pharmacist/controlled

substance licensure is not obtained by December 1st

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7. Duty Hours and Moonlighting

Moonlighting is defined as voluntary, compensated, pharmacy-related work performed outside

the organization (external) or within the organization where the resident is in training (internal),

or at any of its related participating sites. These are compensated hours beyond the resident’s

salary and are not part of the scheduled duty periods of the residency program. In general,

moonlighting is discouraged for pharmacy residents. Below is the procedure for all residents to

request clearance to moonlight during residency:

Moonlighting (internal or external) must not interfere with the ability of the resident to

achieve the educational goals and objectives of the residency program

All moonlighting hours must be counted towards duty hours (see link for definitions) and

must not exceed duty hours limits

Pharmacy residents are eligible for moonlighting up to 2 shifts per month only during

times not usually scheduled for regular duty hours (i.e. evenings or weekends)

Residents will complete a Temp Employment application for internal moonlighting hours

at the beginning of the residency year with the Pharmacy Department Administrative

Assistant. This may take up to 2 weeks to process. The temp status will end after 90 days

of inactivity and will need to be renewed at this time to maintain active temporary status.

Residents will be included on notices that go out to permanent staff informing them of

open shifts and requesting volunteers for picking up additional shifts.

Residents must receive approval from the following individuals prior to EACH

moonlighting shift:

o Their RPD

o Their RAC-assigned mentor (if different than the RPD)

o Their rotation preceptor (if in December, their project preceptor must approve)

The resident will volunteer for the shift(s) by responding to the requestor expressing

interest in the shift, and then must follow-up with the requestor once approval is obtained

from RPD/RAC mentor and preceptor to confirm their ability to fill the shift

The residents’ RPD/RAC-assigned mentor is responsible for maintaining record of

moonlighting hours, and monitoring performance including any impact moonlighting

hours have on scheduled duty hours and the ability of the resident to achieve the

educational goals and objectives of the residency program and provide safe patient care.

If the residents’ participation in moonlighting affects their judgment while on scheduled

duty hours the RPD or RAC-assigned mentor may decline future requests to moonlight.

Preceptors are responsible for reaching out to the RPD if they have any concerns about

the residents’ judgment on scheduled duty hours due to moonlighting.

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8. Benefits

Salary

Each resident receives a competitive stipend. Residents will be paid the last working day of each

month. Direct deposit can be set up through Wolverine Access.

Vacation and Interview Days

Number of paid time off (PTO) days

o Residents are allotted ten (10) vacation days and five (5) interview days. At least

five (5) vacation days must be set aside for use as interview days (if more than the

five allotted interview days are needed) until the resident has secured a position

for the following year. Unused interview days cannot be used as vacation days.

o PGY-1 residents may take up to 3 days off from rotation at the end of June (if not

taking any other days off and has PTO available) if needed to move to a new

location for a PGY2 residency. All requests must be approved by the RPD. The

resident must complete the check-out process prior to their last day

Procedure for requesting vacation and interview days

o Residents must provide 30-day notice for PTO requests. Approval of emergent

requests or requests were a 30-day notice is not possible will be at the discretion

of the RPD.

o PGY1 residents

Request approval from rotation preceptor (PGY1 RPD, preceptor of note

for the dates requested, research and writing preceptors for December).

This permission should be documented in an email following the deadline

dates as outlined in the electronic scheduling system

Forward email containing approval from both rotation preceptor and RPD

to Rotating RAC Chair for record keeping

o PGY2 residents

Request approval from rotation preceptor (PGY2 RPD, preceptor of note

for the dates requested, research and writing preceptors for December).

This permission should be documented in an email following the deadline

dates as outlined in the electronic scheduling system

Forward email containing approval from both rotation preceptor and RPD

to Rotating RAC Chair for record keeping

Holidays

Residents are entitled to the seven official University holidays: Independence Day, Labor Day,

Thanksgiving Day and the day following, Christmas Day, New Year's Day, and Memorial Day.

Each resident will work two holidays (one minor holiday and one major holiday block) and have

the other 5 holidays off of work.

If a resident observes an unofficial University holiday, they need to follow vacation day

procedure to request time off. When requesting a vacation day in December, PGY1 and PGY2

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residents will need permission from their research and writing project preceptors and final

approval from their RPD.

Professional Leave and Business Days

Professional leave may be granted to attend the ASHP Midyear Clinical Meeting, the Great

Lakes Residents Conference, and other meetings approved by RAC. Additionally, up to 5

business days may be approved for the resident to use to attend other professional organization

meetings; however, both approval by the resident’s preceptor and RAC must be obtained.

A Travel Authorization Form must be filed whenever the resident leaves the Hospital on

University Business. Funding is provided for the ASHP Midyear Clinical Meeting and the Great

Lakes Residents Conference.

Sick Day Notification

In the event a resident is sick, the resident utilizes their PTO bank of days.

If the sick-day is a weekday, the following procedure needs to occur:

Contact rotation preceptor via email to notify them of illness a minimum of 2 hours prior

to the start of rotation or 7am at the latest

If your rotation preceptor is not at work that day, be sure to notify the person covering,

and email the appropriate team email list for the service and pharm-

sched@med.umich.edu to ensure coverage can be organized

o Cardiology, CVICU, MP: Pharm-Cardiothoracic-Team@med.umich.edu

o Internal medicine, MICU, Neuro ICU: Pharm-Medicine-Team@med.umich.edu

o Oncology, BMT: Pharm-Oncology-Team@med.umich.edu

o SICU, ACS, STX: Pharm-Surgery-Team@med.umich.edu

o Any pediatric rotation: PHARM-PEDS@med.umich.edu

o Pharmacy operations: Call the 6th floor pharmacy a minimum of 2 hours prior to

shift at 734-936-8251 to let them know which shift you were scheduled, they will

contact via email Pharm-Sched@med.umich.edu and work to find coverage

Forward notifications for record keeping to the appropriate RPD and RPC

If the sick-day is a weekend, the following procedure need to occur:

Minimum of 2 hours prior to the start of your scheduled shift (or earlier if possible)

o Call the 6th floor satellite pharmacy (734-936-8251) to let them know which shift

you were scheduled for and any other pertinent details

o Email pharm-sched@med.umich.edu

If able, the resident should try to find another resident to switch shifts with as a first

option

6th floor satellite will then:

o Contact the administrator-on-call (pager number 30164)

FYI page: the situation and resident is currently attempting to find

coverage within the resident class

53

o Assist in finding coverage within the residency class first

Regardless if the resident or satellite find coverage, the administrator on call should be

paged

o If coverage found: page administrator to let them know which resident will be

covering

o If coverage could not be found within residency class: page administrator to

request further help to find coverage

The resident will report the illness/call-in and any resident coverage that was found to the

appropriate person/people as outlined in weekday section on the Monday following the

weekend.

This procedure is in accordance with the departmental policy on attendance.

Leave of Absence

Leave of Absence is defined as any time off longer than five (5) workdays. In the event that a

leave of absence is needed, a resident is eligible for time off in accordance with the appropriate

University of Michigan Human Resource Policy:

UM Standard Practice Guideline 201.30: Unpaid Leaves of Absence

UM Standard Practice Guidelines 201.29: Jury and Witness

All requests for Leave of Absence must be submitted in writing to the respective Residency

Program Director (RPD). The RPD shall notify the appropriate pharmacy leadership (e.g.,

Pharmacy Manager, Pharmacy Director, etc). Please refer to individual HR policies and

procedures for specific processes and documentation requirements based on type of leave.

The RPD (or designee) will be responsible for approving the Leave of Absence request. Please

refer to individual HR policies and procedures for specific processes and documentation

requirements based on type of leave.

Extended leave of absence (beyond the allotted 10 days of PTO) will result in an unpaid leave. If

eligible, the resident may receive short/long term disability payments per HR policies.

The resident will be required to extend their residency training for the period equal to the

days of unpaid leave up to 90 days

Any resident taking a leave of absence that is greater than 90 days will be ineligible to

complete the remainder of their Pharmacy Residency Program

o The resident will be able to reapply to the Pharmacy Residency Program and will

be evaluated against other prospective candidates applying for the same Pharmacy

Residency Program should an absence extend past 90 days

Leave of absence(s) may extend the training period to reach an acceptable level of performance

in order to graduate from the program.

Any leave greater than or equal to 4 weeks will require the resident to make-up missed

time.

54

Leave of absence time must be made up within 6 months of the date the program was

scheduled to be completed or the resident forfeits the privilege of receiving the

Certificate of Completion of the program. This will extend the residency beyond the

original one-year agreement.

Upon returning from leave, hours must be: worked under the guidance of a preceptor,

equal to the hours missed and worked to complete the requirements that were not yet

completed due to leave of absence. These supplemental hours will be paid at the current

resident rate of pay as was established by the offer letter from the University of Michigan

and may equal but no exceed hours missed during leave.

The Residency Program Director is responsible for assuring that the resident is aware of this

policy and has received a signed acceptance notification. The resident will be informed of this

policy at the beginning of the residency and will sign a copy indicating that they understand and

agree with the policy.

See policy 114.50: Attendance Policy for Allied Health and Office Staff

Travel

Arrangements

Travel arrangements for business purposes must be approved by RAC several weeks in advance

of travel date. Additionally, approval is needed by the preceptor of the affected rotation. The

travel request form can be found on the pharmacy website: Travel Funding and Hospital

Business Time Off Request Form

Funding

Partial or full funding for business travel will be given for the ASHP Midyear Clinical Meeting

and the Great Lakes Residency Conference only. PGY2 residents have the opportunity to attend

a Specialty related conference with partial funding. Additional travel funding requests must be

made several weeks in advance of business travel for approval; however, additional business

trips are usually at the expense of the resident. The travel funding request form must be

completed and given to the travel secretary several weeks prior to the trip.

Travel advances may be taken out of approved funding dollars in order to pay for flight and/or

hotel deposits; the remainder of approved funding will be reimbursed upon completion of the

travel expense report. The travel expense report must be completed within 7 days of return from

the trip OR within 30 days of the cash advance. The expense report can be found on the

pharmacy website.

Expense Report

The travel expense report can be obtained from travel secretary. It must be completed within 7

days after return from trip in order to ensure reimbursement. All original receipts (other than

food receipts) must be kept and forwarded along with this report to the travel secretary. The per-

diem worksheet must be completed for food reimbursement and is pro-rated based on travel

55

destination. Contact travel secretary prior to planning any travel or before applying for

reimbursement.

Guidelines for Travel

Guidelines are located on the pharmacy website and updated regularly. See: Travel

Authorization Policy

Health Benefits

The University of Michigan offers a menu of health benefit packages to pharmacy residents.

Nominal fees may need to be paid to enroll in the residents’ choice of a health plan. Cost for two

persons and/or family rates are nominal. Dental coverage is not provided for residents in their

first year of training.

Further details and answers to questions may be obtained from the Office of Staff Benefits.

Job-Incurred Injuries

Residents must inform the RPC of job-incurred injuries as soon as possible after the incident and

a report must be filed with Employee Health Services describing the incident.

Injuries sustained in Ann Arbor should be treated at the University Hospital Emergency Suite.

Injuries sustained outside the city should be treated at the nearest medical facility. The

University will not be responsible for incurred costs if treatment can be obtained at University

Hospital but the injured staff member elects to receive treatment at another medical facility.

Miscellaneous Benefits

Additional benefits such as gymnasium passes, free city bus transportation, and discounts on

books are available to residents as University of Michigan staff and Clinical Instructors at the

College of Pharmacy

56

9. Preceptor Responsibilities

ASHP Requirements of Preceptors

The RPD should document criteria for pharmacists to be preceptors. The following requirements

may be supplemented with other criteria:

Pharmacist preceptors must be licensed and have completed an ASHP-accredited PGY2

residency followed by a minimum of one year of pharmacy practice in the advanced

practice area. Alternatively, licensed pharmacists who have not completed an ASHP-

accredited PGY2 residency may be preceptors but must demonstrate mastery of the

knowledge, skills, attitudes, and abilities expected of one who has completed a PGY2

residency in the advanced practice area and have a minimum of three years of practice in

the advanced area.

Preceptors must have training and experience in the area of pharmacy practice for which

they serve as preceptors, must maintain continuity of practice in that area, and must be

practicing in that area at the time residents are being trained.

Preceptors must have a record of contribution and commitment to pharmacy practice

characterized by a minimum of four of the following (Michigan Medicine requires this to

be met within 5 years of becoming a preceptor):

o Documented record of improvements in and contributions to the respective area

of advanced pharmacy practice (e.g., implementation of a new service, active

participation on a committee/task force resulting in practice improvement,

development of treatment guidelines/protocols).

o Appointments to appropriate drug policy and other committees of the

department/organization.

o Formal recognition by peers as a model practitioner (e.g., board certification,

fellow status).

o A sustained record of contributing to the total body of knowledge in pharmacy

practice through publications in professional journals and/or presentations at

professional meetings.

o Serving regularly as a reviewer of contributed papers or manuscripts submitted

for publication

o Demonstrated leadership in advancing the profession of pharmacy through active

participation in professional organizations at the local, state, and national levels

o Demonstrated effectiveness in teaching (e.g., through student and/or resident

evaluations, teaching awards)

Preceptors must demonstrate a desire and an aptitude for teaching that includes mastery

of the four preceptor roles fulfilled when teaching clinical problem solving (instructing,

modeling, coaching, and facilitating). Further, preceptors must demonstrate abilities to

provide criteria-based feedback and evaluation of resident performance. Preceptors must

continue to pursue refinement of their teaching skills.

57

Additional preceptor requirements

o Preceptor displays professionalism in his/her work environment

o Preceptor is collegial to pharmacists, physicians, nurses, etc. in his/her work

environment

o Preceptor serves as a role model for practice style in his/her area of practice

o Preceptor provides an environment conducive to learning

o Preceptor displays expertise in his/her area of practice as determined by the RPD

o Preceptor meets with the resident at minimum 2-3 x week for month long

rotations to discuss topics and/or patient cases and is available throughout the

resident rotation as needed for any questions. For longitudinal rotation

experiences, the preceptor routinely communicates and provides feedback to the

resident.

o Preceptor is able to adapt his/her teaching style and/or learning experience to

match the specific resident needs and/or address differences in learning style

o Preceptor is amenable to feedback from the resident and/or RPD

o Preceptor adequately assesses and evaluates the resident by providing verbal and

written feedback

Preceptor Appointment Process

Below is the process required for preceptors to be approved:

Preceptor submits academic and professional record (APR) and rotation experience to

RAC

RAC reviews materials and makes decision if the preceptor and rotation experience are

acceptable for PGY1 program

PGY2 RPD reviews and makes decision if the preceptor and rotation experience are

acceptable for their PGY2 program and brings back to larger RAC meeting to be

recorded in the minutes

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10. Residency Advisory Committee (RAC)

Purpose

The purpose of the Residency Advisor Committee (RAC) is to establish and maintain ASHP-

accredited pharmacy residency programs and to server as the advisory and organizational

structure of all Michigan Medicine pharmacy residency programs

The committee shall assure:

Residency programs adhere to the Pharmacy Department, Hospital and ASHP mission

and guidelines

Respective residents' and Department's goals are met

Residents' advocacy to other faculty, staff, and Departments

Residents' adherence to residency program

Mentorship and guidance to residents

Develop new programs as needed to support: department needs, future pharmacist roles,

and job market changes

Decisions important to the function of the department are made in a timely manner

Membership and Description of Responsibilities

Permanent Chair - Residency Program Coordinator (voting tie breaker)

o Provide oversight of all RAC activities and continuity over time

o Coordinate residency recruitment

o Serve as research project proposal reviewer

o Lead RAC meetings

o Ensure adequate feedback and representation of affected parties for all RAC votes

o Coordinate resident orientation

o Coordinate research project proposal review

o Review and appoint members to RAC

Six (6) clinical pharmacist preceptors

o Serve as research project proposal reviewers

All residency program directors (PGY1 and PGY2)

One (1) tenure-track faculty member

o Serve as liaison with College

o Serve as research project proposal reviewer

One (1) clinical pharmacist in management/operations

o Coordinate and evaluate PGY1 resident operations experience

One (1) coordinator of resident clinical on-call

All residency program coordinators (non-voting)

One Assistant Director of Education and Research (non-voting member)

Chief Residents (PGY1 and PGY2)

o Represent residency class

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Rotating RAC secretary (non-voting member)

o Fulfilled by a PGY1 or PGY2 resident on a rotating basis

o Prepare meeting agenda and take meeting minutes

Special Requests

All issues and special requests (i.e. rotation requests, travel requests, deadline extensions)

relating to the residency should be submitted by the resident to RAC for consideration.

Meetings

RAC meets at least monthly

Action taken by the RAC shall be decided by general consensus (4 or more members

agree or disagree). If consensus cannot be reached the RPC will decide on the decision to

be made.

The secretary shall provide e-mail notice of the time and place of all meetings to each

member of the committee. An agenda of the items for which action may be taken shall be

distributed no later than three days prior to each meeting.

Non-members who wish to attend RAC meetings (in person or monitor conference calls)

require RPC approval

Agendas will by prepared by the secretary, incorporating requests from members of this

and other committees

Members who cannot attend a meeting may identify a proxy to attend and vote in their

place provided the individual is identified in advance and this is communicated to the

RPC and rotation Secretary

o The RAC member must identify the proxy in advance and submit the name of the

individual to the rotating RAC Secretary when they send out the call for agenda

items

o The rotating RAC Secretary will record the member absence and the name of the

individual proxy on the agenda and minutes for documentation

o Only 1 vote can count for each program

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11. Resident Candidacy Process

Michigan Medicine residencies utilize ASHP PhORCAS™ and resident candidates must be

registered for the Match on their website. The application deadline for all residency programs is

January 1st.

A. Prescreening of Applicants

A prescreening tool is utilized. Criteria evaluated includes the following:

Previous work experience

Writing experience/publications

Presentations/public speaking

Leadership and involvement in extracurricular activities

Strengths of letters of recommendation

Letter of intent

Diversity and extent of clinical experiences

Research experience

Transcripts

A team of RAC members, minimum of 6 RAC members for the PGY1 pharmacy practice

residency program, will have the listing divided out evenly amongst the reviewing team. The

RPC for the PGY1 program will randomly evaluate high, low, and middle scorers for quality-

assurance. Using an electronic database, each reviewer can answer the questions with the

weighting be built into their response along with a type-in section for 2 separate questions:

Any assets that should be noted

Any weaknesses that would hinder the candidate’s ability to perform effectively in the

residency program

A separate meeting for each residency program will take place with all the reviewers. The RPD

or RPC will pull the data from the electronic database. This information will be ranked in order

of highest score to lowest. The goal is to invite 4 candidates per residency position.

University of Michigan students with a GPA minimum of 3.2 are allowed an abbreviated

interview day (half-day), which are typically offered in the beginning of January for 2 days only.

These students may decide to go through the full-interview day process as well. Either route,

they are screened and evaluated the same way as all other candidates.

B. On-site Interviews

All pharmacists that interview a candidate onsite will have an access to the onsite evaluation

form. After the last interview the RPD or RPC will schedule a meeting time with the original

interview reviewing team from the prescreen. The RPD or RPC will pull the data from the

electronic database. This information will be ranked in order of highest score to lowest.

Determinations based on weaknesses collected from the tool will be used to remove candidates

with negative feedback such as not a team player, failing/low grades. This information will be

61

ranked in order of highest score to lowest. The final rank list will be uploaded to ASHP by the

RPD or RPC.

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12. Communications and Logistics

Pagers and Paging

Each resident will be provided with a pager. Paging can be accomplished by accessing the

Michigan Medicine clinical home page. Professional behavior is expected when utilizing the

paging system.

During longitudinal ambulatory care activities, pagers should be switched to preceptor coverage

during clinic hours if prompt response will not be possible to pages. The respective medical team

should be notified of the temporary coverage changes. Fellow residents will cover the code pager

when the resident is assigned code coverage and is off-site. The resident has responsibility of

finding this coverage.

Telephone System

For local calls: Dial "97" and then the phone number if within the pharmacy at the hospital. To

call locally from the Victor Vaughan Building, dial “9” and then the phone number.

Long distance calls: May not be made on office phones unless directly related to work.

Fax Guidelines

Facsimiles may be sent and should be restricted to business use only

Personal Computers

The computers located in the residents' area are dedicated to use by the residents. Software

should not be added to the hard disks of any of these terminals

Photocopying

Residents may use the photocopying machine in the B2 pharmacy or in the copier rooms in the

Victor Vaughan building for hospital-related business

Professional Posters

The printing of professional posters is available for the residents at the Duderstadt Center in

Pierpont Commons on University of Michigan North Campus or other alternatives. See poster

template for guideline to poster format.

Guidelines for Pharmacist Documentation in the Medical Record

Pharmacists within the University of Michigan Hospitals and Health Centers are authorized to

write in the Progress Notes section (under Medication Management and Pharmacy Note

templates) of the patient medical record in the following circumstances:

Documentation of patient-specific clinical activities, including patient counseling and

education

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Provision of patient-specific pharmaceutical information and drug therapy monitoring

and detection of potential adverse drug reactions and drug interactions as the result of

solicited or unsolicited consultations

Pharmacokinetic and Anticoagulation Pharmacy provided service

Entries in the patient medical record shall be made only by pharmacists licensed in the

State of Michigan. Pharmacy students and unlicensed pharmacy residents may write in

the medical record providing that a licensed pharmacist reviews and co-signs each

notation.

Notations by pharmacists shall be entered in the Progress Notes section of the medical

record in an approved template

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Appendix A: Graduation Requirement Checklist

Residency Requirement RPD or

RAC

mentor

Date

Complete

Corresponding

ASHP standard

Rotation/Patient Care Experiences

Refer to PharmAcademic® evaluations;

Evaluation of self and preceptor for each rotation

Baseline and quarterly evaluations uploaded into PharmAcademic®

3.3

3.4

Completion of ≥80% ASHP Required Outcomes 3.3

3.5

Minimum average score of “5 = proficient”

for all remaining outcomes

3.3

3.5

All clinical practice requirements have been completed as stated in the residency

manual

3.3c

Professional Obligations

Professional Committee Involvement and Resident-Run Committees

(institutional, local, state or nationally) as stated in residency manual

4.1

State of Michigan Pharmacist and Controlled Substance licensure no later than

September 1st

1.4

1.5

Scientific Advancement/Research

Research Project and supporting manuscript is suitable for publication 3.3

(goal 2.2)

Writing Project and supporting manuscript is suitable for publication 3.3

Continuing Education presentation 3.3

(goal 4.1)

Longitudinal Experiences

Teaching activities have been completed as stated in residency manual 3.3

Clinical weekend activities (Pharmacokinetic Monitoring, Anticoagulation,

Nutrition and Bacteremia as reviewed through CANOPy forms)

3.3

Staffing (as reviewed through CANOPy forms) 3.3

Clinical on call activities as stated in the residency manual 3.3

Participate in management of medical emergencies (ACLS) (as reviewed through

CANOPy forms)

3.3

Leadership series participation

3.3

Optional: Research series participation 3.3

(goal 2.2)

Optional: Teaching Certificate has been completed as stated in residency manual 3.3

Other

Participate in at least 1 group Community Service project as stated in the residency

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Appendix B: Rotation Options

Category Rotations Ambulatory Care

1 required for PGY1 residents

Outpatient Anticoagulation

Brighton Internal Medicine

Ambulatory Hematology

Ambulatory Oncology

Ambulatory Oncology: Solid Tumor

Ambulatory Internal Medicine

Liver Transplant Clinic

Kidney Transplant Clinic

Internal Medicine

1 required for PGY1 residents;

Various preceptors offer

Adult Internal Medicine

Adult Internal Medicine- Med GI/Liver

Adult Cardiology

Adult Medical Oncology

Adult Hematology

Adult Bone Marrow Transplant

Obstetrics/Labor and Delivery

Management

1 required for PGY1 residents

various preceptors offer

Administration

Pediatrics Administration

Pharmacy management/administration – Transitions of

Care/Emergency Services

Pharmacy Management and Leadership

Academic Administration

Critical Care

1 required for PGY1 residents

Surgical Critical Care

Adult Neuro ICU

Trauma/Burn ICU

Cardiovascular ICU

Medication Use Policy/Operations Pharmacy Operations/Medication Use Policy

Pediatrics

1 required for PGY1 residents;

Various preceptors offer

Pediatric ICU

Pediatric Cardiology

General Pediatrics

Pediatric Emergency Medicine

Pediatric Surgery

Elective Rotations Adult Cardiology

Adult Medical Oncology

Adult Hematology

Adult Bone Marrow Transplant

Obstetrics/Labor and Delivery

Adult Emergency Medicine

Adult Palliative Care Consult Service

Infectious Disease/Antimicrobial Stewardship

Inpatient Psychiatry and General Neurology

Lung Transplant/Medicine Pulmonary

Pharmacogenomics

Solid Organ Transplant

Surgery- Nutrition

Teaching/Academia

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Appendix C: Seminar Evaluation Form

Presentation Title: Date

Speaker:

Scale:

1= Unacceptable Needs extensive improvement, does not meet expectations

2 =Needs improvement Meets some expectations but often falls short

3= Meets expectations Meets all expectations consistently

4= Exceeds expectations Meets and exceeds most expectations

5= Exceptional Exceeds all expectations

Scale Comments

Speaker Evaluation

- Appropriate volume, pronunciation, articulation

- Appropriate pace

- Presentation was spoken, not read

- Adequate eye contact

- Utilized effective non-verbal communication

- Engaged audience and maintained their interest

- Absence of distracting mannerisms and filler words

Presentation Organization

- Opened with a prepared, inviting introduction

- Presented in a logical sequence

- Transitioned between concepts clearly

- Summarized conclusions and actionable ideas

Presentation Content

- Stated purpose clearly

- Stated methods clearly

- Discussed results in sufficient detail

- Stated conclusions appropriate, well supported

- Appropriate to audience and time allotted

- Speaker conveyed how the project would improve patient care

and/or positively impact the organization or others

Mastery of Subject

- Demonstrated substantial contribution to and ownership of

project by resident

- Material was relevant and contemporary

- Presentation was authoritative

- Answered questions completely and logically

Quality of Project

- New insights were gained by audience

- High likelihood project improves patient care and positively

impacts the organization or others

Audiovisual Aids

- Legible, uncluttered, visually appealing slides

- No spelling or grammar errors

- Tables and graphs were visually appealing

- Graphics and/or animation used appropriately

- Slides complemented verbal presentation

Bias and Referencing

- Outside information appropriately referenced

- Presentation was unbiased and provided fair balance of

information

Content was delivered in allotted time: min ☐Yes ☐No Time:

Reviewer Name: Reviewer Specialty:

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Appendix D: Early Commitment Workflow

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Appendix E: Teaching Evaluation (optional)

Feedback on GSI and Fellow/Resident Course Performance

Instructor’s Name: Course Name & Lecture Title:

Observer’s Name: Observation Date & Time: _________________________

Direct Classroom Teaching

The GSI/Fellow/Resident… DONE NEEDS

IMPROVEMENT NOT DONE N/A

Demonstrates command of the classroom

- Effectively holds class attention

- Manages disruptive behavior constructively

- Manages classroom time efficiently

- Gives clear and concise directions

Uses attending behaviors effectively

- Good eye contact

- Employs an appropriate rate of speech

- Has a relaxed but attentive posture

- Moves about the room

Conducts self in a professional and confident

manner

- Is enthusiastic and confident in explaining the

subject matter

- Appears knowledgeable

- Tone is professional and academic

Answers questions clearly and effectively

- Repeats student questions so all can hear

- Checks for student understanding

- Provides clear and comprehensive explanations

when required

- Tells the class that he/she will follow-up on

questions if necessary

Creates an engaging environment where students

openly ask questions and give their own ideas and

opinions

- Creates an inclusive space for students to speak

- Ensures an effective balance between student

discussion and faculty lecturing

- Prevents or terminates discussion monopolies

- Is sensitive to individual interests, abilities, and

experiences

Contributes to a positive climate with students in the

classroom

- Demonstrates patience in helping students

understand difficult concepts

- Corrects student mistakes in a non-threatening manner and recommends additional

information to benefit all learners

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List the major strengths of this GSI or fellow/resident:

List at least 2 areas where you feel the GSI or fellow/resident can improve:

Additional comments:

Observer’s signature: Date: __________________

Ensures learning activities align with material being

taught

- Coordinates learning content with instructional

objectives

- Prepares classroom activities that reflect

learning content

Logistical Tasks

The GSI/Fellow/Resident… DONE

NEEDS

IMPROVEMEN

T

NOT DONE N/A

Is prepared for classroom lecture or activities

- Has necessary lecture materials ready at the

beginning of the classroom session (e.g.

PowerPoint presentations, lecture handouts,

quizzes, etc.)

- Is prepared for recitation sessions

- Is prepared for lab sessions

Demonstrates accountability

- Meets deadlines in grading

- Meets deadlines for content preparation

- Holds office hours, if required

Follows through with teaching tasks

- Responds to student questions in a timely

manner

- Responds to faculty member and/or other

instructors in a timely manner

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Appendix F: Program-Specific Information Section

Cardiology Pharmacy Program Director: Kristen Pogue, PharmD, BCPS (AQ Cardiology), BCCP

Description of Program

The PGY2 Cardiology Residency is an organized, directed postgraduate training program that

focuses on the development of the knowledge, attitudes, and skills needed to provide

pharmaceutical care in cardiovascular pharmacy practice. The program is structured in

accordance with the ASHP Accreditation Standard for Specialized Pharmacy Residency Training

in Cardiology.

Requirements for Graduation

Research project

Writing project (or additional research project if previously published a review article)

ACPE-Accredited 1-hour CE Presentation

Teaching at College of Pharmacy (3 hours per week for 1 semester)

Deliver lecture in Doctor of Nurse Practitioner Pharmacology Course

Rotation based teaching (2 topic discussions per rotation; serve as primary preceptor for 1

or more P4 APPE rotations)

Professional committee involvement

Institutional committee involvement

Core cardiology topic discussions and journal club (6 topics and 6 journal clubs/late

breaking clinical review)

Development of a guideline or protocol for cardiology or related areas

Completion of cardiology-related quality improvement project

Develop and deliver medication-related talk to LVAD/heart transplant patient support

group (if scheduling allows)

Develop nursing and/or physician in-service

Participation in pharmacist code response training

Required Rotations

Orientation (1 month)

General Cardiology (2 months)

Cardiology Critical Care Unit (2 months)

Heart Failure/Transplant (2 months)

Cardiovascular Surgery Intensive Care Unit (1 month)

Ambulatory Cardiology (VA) (1 month)

Longitudinal Outpatient Anticoagulation or Post-ICU Discharge Clinic (4 hours per week

for 16 weeks)

Elective Rotations

Pediatric Cardiology (Inpatient and Outpatient Adult Congenital Disease) (1 month)

Emergency Medicine (1 month)

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Medical Ventricular Assist Device (1 month)

Staffing Requirements

Approximately every 3rd weekend for no more than 15 clinical weekends, 1 minor

holiday, and 5-day major holiday block throughout the year

On-Call Requirements (optional)

On-call pager back-up (1-week commitment, approximately 6 times throughout the year)

Meeting Attendance

Attendance at ASHP Midyear Clinical Meeting (MCM) with poster presentation at both

Vizient poster session

Attendance at Great Lakes Pharmacy Residency Conference with presentation of results

of one research project

Attendance at PGY2 cardiology specific conference (e.g. ACC, ACCP, AHA)